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General NPI Number Information
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NPI Number | 1194222067
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Entity Type | Individual
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Provider Name | BRADLEY COMPTON WHAM
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Gender | Male
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1915 LENDEW ST STE 100
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City | GREENSBORO
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State | NC
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Zip | 27408-7094
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Country | US
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Telephone | 363-275-3325
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Fax | 336-275-5346
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 919-220-5255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2024-02112
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 2024-02112
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License Number State | NC
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